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Curing pure CIS with radical surgery: lessons learned

1 September 2014 | | Urologic Oncology | bladder cancer, carcinoma in situ, carcinoma in situ (CIS), radical cystectomy, survival, urothelial cancer
As carcinoma in situ (CIS) theoretically has no ability to invade or metastasise, performing radical cystectomy for CIS-only disease should be curative. In this single centre review over 37 years, 1964 patients undergoing cystectomy were analysed with 52 undergoing surgery...
The Journal of Urology image.

Assessing resolution of isolated hydronephrosis – is APPD superior to the SFU system?

14 April 2021 | | Paediatric Urology | hydronephrosis, pyelectasis, urinary tract
Antenatal scanning detects urinary tract dilatation in 1-5% of pregnancies. Isolated hydronephrosis (i.e., that not due to secondary dilatation e.g. bladder dysfunction) is known to resolve or improve in most; some patients may, however, require intervention through deterioration of obstruction...
The Journal of Urology cover image.

A tale of two cities – hypospadias outcomes

2 February 2022 | | Functional Urology | hypospadias, treatment outcome, urologic surgical procedures, male
As urologists, it is important to know our results. In terms of hypospadias surgery, which is commonly undertaken after the age of one year in the UK, long-term follow-up is required to fully acquire this knowledge. Long-term urinary outcomes and...

The impact of menopause on bladder symptoms

11 July 2023 | | Functional Urology, Infection
The menopause is a natural process of ageing when the ovaries completely stop producing reproductive hormones (oestrogen and other sex steroids), and there are no monthly periods for 12 consecutive months. It normally occurs between the ages of 45-55 years...

Impact of internal spermatic artery preservation during laparoscopic varicocelectomy

1 May 2015 | | Paediatric Urology | Adolescents, Internal spermatic artery, Laparoscopy, Recurrence, Varicocelectomy
There is still considerable controversy about the optimal surgical treatment of adolescent varicocele. One of the dilemmas is whether or not to preserve the internal spermatic artery (ISA) when carrying out a laparoscopic Palomo procedure. This paper looks at retrospective...

Is renal pelvis reduction during dismembered pyeloplasty necessary?

1 March 2014 | | Paediatric Urology
The development of laparoscopic pyeloplasty has progressively led to a reduction in the amount of perioperative renal pelvic excision as a large excision leads to a longer anastomosis with associated increased risks (leak, operative time). This prospective study of 40...

The surgical management of female stress urinary incontinence in a post-mesh era

7 July 2020 | | Functional Urology, Infection, Reconstructive Urology
Trends in surgical management of women with stress urinary incontinence (SUI) have changed in recent times, mainly due to the ‘High Vigilance Pause’ placed on the use of mesh for SUI (and prolapse) surgery in July 2018 following an independent...

Initial impressions of urology in the UK from overseas trainees

3 September 2021 |
Readers of Urology News will be familiar with descriptions of overseas visits by UK-based urological trainees, but it is sometimes beneficial to reflect on the experience of international medical graduates (IMGs) who elect to come to work and train in...

Moving hospitals as a consultant urological surgeon: what are the challenges?

2 March 2022 |
Despite over 100 unfilled consultant urological surgeon posts in the UK, the reasons why an established surgeon should wish to move hospitals can still be viewed with suspicion. Why is this the case, when in many other careers, both within...

A ‘survival guide’ to an ST3 year in urology

1 January 2015 |
Following success in national selection, it soon dawns on the successful candidate that entry into higher surgical training (HST) requires more than a little clinical knowledge. The role requires administrative and organisational skills not hitherto called upon. This additional skill...

Neurourology

4 September 2020 | | Neurourology
Case 1 What are the urological indications for use of this medication? What is the mechanism of action when used in the bladder? What is the average duration of action? What are the contraindications to the use of this medication?...

An interview with ChatGPT (3.5)

4 May 2023 | | Technological Developments
For this month’s Digital Review I explored the hype surrounding Chat Generative Pre-trained Transformer (GPT) from Open AI. The free version is still available at https://chat.openai.com/chat (ChatGPT 3.5) and was used in this article. At the time of writing this...